神经外科患者术后颅内感染的相关危险因素分析及其护理对策

发布时间：2018-02-15 08:31

本文关键词： 神经外科术后颅内感染危险因素护理　出处：《中国临床新医学》2016年02期 　论文类型：期刊论文

【摘要】：目的探讨神经外科术后出现颅内感染的相关危险因素及其护理干预措施,以期为临床有效预防和治疗术后颅内感染提供理论依据。方法采用回顾性研究方法,对该院神经外科采用手术治疗的患者的临床资料进行调查,将术后出现颅内感染的患者设定为观察组,将术后未出现颅内感染的患者设定为对照组。对比观察两组患者术前、术中及术后等多方面的资料并进行统计学分析。结果 742例患者术后颅内感染的发病率为4.85%(36/742)。术前因素中患者年龄大、术前合并症多、术前GCS评分低是发生颅内感染的危险因素(P0.05);术中因素中手术次数多、手术过程持续时间长、开颅手术例数比例多、微创手术例数比例少,以及术中出血量多是发生颅内感染的危险因素(P0.05);术后因素中术后放置引流管时间长、术后引流量多、昏迷时间长、护理满意度低是发生颅内感染的危险因素(P0.05)。结论导致神经外科术后出现颅内感染的相关危险因素比较多,应该对神经外科行颅脑手术的患者在围手术期给予针对性的护理干预,进行早期预防、早期治疗,从而降低术后颅内感染的发病率,提高术后颅内感染的治疗有效率。
[Abstract]:Objective to explore the risk factors and nursing intervention of intracranial infection after neurosurgery in order to provide a theoretical basis for the effective prevention and treatment of postoperative intracranial infection. The clinical data of patients undergoing surgical treatment in neurosurgery in this hospital were investigated. The patients with intracranial infection after operation were selected as observation group and those without intracranial infection after operation as control group. Results the incidence of intracranial infection in 742 patients after operation was 4.85 / 742. Low preoperative GCS score was the risk factor of intracranial infection (P 0.05), the operative factors were more times of operation, longer duration of operation, more cases of craniotomy and fewer cases of minimally invasive surgery. The amount of intraoperative bleeding was the risk factor of intracranial infection, and the postoperative factors included long time of placement of drainage tube, more drainage after operation, and long time of coma. Low nursing satisfaction is the risk factor of intracranial infection (P 0.05). Conclusion there are many related risk factors leading to intracranial infection after neurosurgery, and nursing intervention should be given to patients undergoing craniocerebral surgery during perioperative period. Early prevention and early treatment can reduce the incidence of postoperative intracranial infection and improve the effective rate of postoperative intracranial infection.
【作者单位】：钦州市第一人民医院神经外科二区;
【分类号】：R473.6

【相似文献】